SAMUEL ANDREW MIZENER MED, LAT, ATC, CSCS
NPI 1447609516
Specialist/Technologist - Athletic Trainer in Orlando, FL

Active since June 08, 2016
1001 AVALON PARK BLVD S, ORLANDO, FL 32828(724) 831-8521 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Andrew Mizener Med, Lat, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL ANDREW MIZENER MED, LAT, ATC, CSCS (NPI 1447609516) is an individual athletic trainer provider in Orlando, Florida, licensed in Florida (AL2235) and active in the NPI registry since June 2016.Information from the official NPPES registry record, last updated June 8, 2016.

NPPES Registry Identity

NPI1447609516
Entity TypeIndividualMale
Provider Legal NameSAMUEL ANDREW MIZENERCredential: MED, LAT, ATC, CSCS
Location Address1001 AVALON PARK BLVD SOrlando, FL 32828-7764
Mailing Address1001 Avalon Park Blvd SOrlando, FL 32828-7764 · (724) 831-8521
Sole ProprietorYes
Enumeration DateJune 8, 2016
NPI 1447609516 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Specialist/Technologist · Athletic Trainer

Taxonomy 2255A2300X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in FL · AL2235

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment,… Show more

1001 AVALON PARK BLVD S, Orlando, FL 32828

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447609516, enumerated as an "individual" on June 08, 2016.

The provider is located at 1001 AVALON PARK BLVD S ORLANDO, FL 32828 and the phone number is (724) 831-8521.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.